Relationship Between Socioeconomic Status and Diet Quality in Obese Adolescents

https://doi.org/10.53770/medica.v8i7.1120

Authors

  • Cicilia Karlina Lariwu Associate Degree Program in Nursing at Bethesda College of Health Sciences, Tomohon, Central Tomohon, North Sulawesi, Indonesia
  • Christiane Prisilia Sarayar Associate Degree Program in Nursing at Bethesda College of Health Sciences, Tomohon, Central Tomohon, North Sulawesi, Indonesia
  • Jeane Sumarauw Associate Degree Program in Nursing at Bethesda College of Health Sciences, Tomohon, Central Tomohon, North Sulawesi, Indonesia
  • Ever Mario Lontaan Associate Degree Program in Nursing at Bethesda College of Health Sciences, Tomohon, Central Tomohon, North Sulawesi, Indonesia
  • Jolie Febri Ponamon Associate Degree Program in Nursing at Bethesda College of Health Sciences, Tomohon, Central Tomohon, North Sulawesi, Indonesia
  • Linnie Pondaag Bachelor’s Degree Program in Nursing at Bethesda College of Health Sciences, Tomohon, Central Tomohon, North Sulawesi, Indonesia
  • Pingkan Christy Timbuleng Bachelor’s Degree Program in Nursing at Bethesda College of Health Sciences, Tomohon, Central Tomohon, North Sulawesi, Indonesia

Keywords

Socioeconomic Status Diet Quality Obese Adolescents Healthy Eating Index Cross-Sectional Study

Abstract

The increasing prevalence of adolescent obesity and poor diet quality remains a significant public health issue, with socioeconomic factors playing an important role in shaping dietary behaviors. This study aimed to analyze the relationship between socioeconomic status and diet quality among obese adolescents in Tomohon City using a cross-sectional design. A total of 316 obese adolescents aged 17–19 years were recruited through purposive sampling, a non-probability sampling technique in which participants were selected based on predetermined inclusion criteria. Diet quality was measured using the Healthy Eating Index 2015 (HEI-2015), while socioeconomic status was assessed through a parental questionnaire covering income, education, occupation, and household expenditure. Data were collected via Google Forms and analyzed using the Chi-square test and simple logistic regression at a significance level of p ≤ 0.05. The results showed that most respondents had medium socioeconomic status (61.4%) and diet quality categorized as “needs improvement” (75.0%), with a significant association between socioeconomic status and diet quality (p < 0.001; OR = 13.168; 95% CI: 6.975–24.859). In conclusion, socioeconomic status is significantly associated with diet quality among obese adolescents in Tomohon City. These findings underscore the need for targeted nutrition interventions to improve dietary quality among socioeconomically disadvantaged adolescents.

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References

Amrynia, S. U., & Prameswari, G. N. (2022). Hubungan pola makan, sedentary lifestyle, dan durasi tidur dengan kejadian gizi lebih pada remaja. Indonesian Journal of Public Health and Nutrition, 2(1), 112–121. https://doi.org/10.15294/ijphn.v2i1.52044

Andrade, S., Morais, T., Sandovici, I., Seabra, A. L., Constância, M., & Monteiro, M. P. (2021). Adipose tissue epigenetic profile in obesity-related dysglycemia-a systematic review. Frontiers in endocrinology, 12, 681649. https://doi.org/10.3389/fendo.2021.681649

Bagheri, M., Farzadfar, F., Qi, L., Yekaninejad, M. S., Chamari, M., Zeleznik, O. A., Koletzko, B., Uhl, O., & Djazayery, A. (2018). Obesity-related metabolomic profiles and discrimination of metabolically unhealthy obesity. Journal of Proteome Research, 17(4), 1452–1462. https://doi.org/10.1021/acs.jproteome.7b00802

Colozza, D., Guo, I., Padmita, A. C., Arihandayani, Y., Firna, E., & Avendano, M. (2025). Is obesity associated with depression in low- and middle-income countries? Longitudinal evidence from Indonesia. International Journal of Obesity, 49(6), 1134–1141. https://doi.org/10.1038/s41366-025-01757-x

Davis, J. A., Mohebbi, M., Collier, F., Loughman, A., Staudacher, H., Shivappa, N., Hébert, J. R., Pasco, J. A., & Jacka, F. N. (2021). The role of diet quality and dietary patterns in predicting muscle mass and function in men over a 15-year period. Osteoporosis International, 32, 2193–2203. https://doi.org/10.1007/s00198-021-06012-3

Erlando, A., Riyanto, F. D., & Masakazu, S. (2020). Financial inclusion, economic growth, and poverty alleviation: Evidence from eastern Indonesia. Heliyon, 6(10), e05235. https://doi.org/10.1016/j.heliyon.2020.e05235

Gearhardt, A. N., Yokum, S., Harris, J. L., Epstein, L. H., & Lumeng, J. C. (2020). Neural response to fast food commercials in adolescents predicts intake. American Journal of Clinical Nutrition, 111(3), 493–502. https://doi.org/10.1093/ajcn/nqz305

Jia, P., Luo, M., Li, Y., Zheng, J. S., Xiao, Q., & Luo, J. (2021). Fast‐food restaurant, unhealthy eating, and childhood obesity: a systematic review and meta‐analysis. Obesity reviews, 22, e12944. https://doi.org/10.1111/obr.12944

Kementerian Keuangan Republik Indonesia. (2025). Laporan keuangan pemerintah daerah provinsi Sulawesi Utara. Kementerian Keuangan Republik Indonesia.

Koyanagi, A., Smith, L., Oh, H., Yang, L., Jackson, S. E., Haro, J. M., Shin, J. I., Carvalho, A. F., & Jacob, L. (2020). Secondhand smoking and obesity among nonsmoking adolescents aged 12–15 years from 38 low- and middle-income countries. Nicotine and Tobacco Research, 22(11), 2014–2021. https://doi.org/10.1093/ntr/ntaa053

Kutbi, H. A., & Mumena, W. A. (2025). Overweight and obesity among adolescents in Saudi Arabia: a multi-school cross-sectional study. BMC pediatrics, 25(1), 350. https://doi.org/10.1186/s12887-025-05633-5

Laitinen, K., & Mokkala, K. (2019). Overall dietary quality relates to gut microbiota diversity and abundance. International journal of molecular sciences, 20(8), 1835. https://doi.org/10.3390/ijms20081835

Li, H., Tang, X., Guo, X., Zhang, M., Zhang, M., Nie, J., ... & Yin, X. (2024). Association of dietary patterns with chronic respiratory health among US adults. Frontiers in Immunology, 15, 1457860. https://doi.org/10.3389/fimmu.2024.1457860

Shaw, S., Crozier, S., Cooper, C., Smith, D., Barker, M., & Vogel, C. (2025). The association between adolescents’ independent food purchasing and dietary quality differs by socioeconomic status: Findings from a pilot study. Plos one, 20(9), e0312903. https://doi.org/10.1371/journal.pone.0312903

Su, Y., Du, S., Yang, M., Wu, J., Lu, H., & Wang, X. (2021). Socioeconomic determinants of diet quality on overweight and obesity in adults aged 40–59 years in inner mongolia: A Cross-Sectional study. International Journal of Public Health, 66, 1604107. https://doi.org/10.3389/ijph.2021.1604107

Sun, M., Fritz, J., Häggström, C., Bjørge, T., Nagel, G., Manjer, J., ... & Stocks, T. (2023). Metabolically (un) healthy obesity and risk of obesity-related cancers: a pooled study. JNCI: Journal of the National Cancer Institute, 115(4), 456-467. https://doi.org/10.1093/jnci/djad008

UNICEF. (2025). Feeding profit: How food environments are failing children. https://www.unicef.org/reports/feeding-profit

Wang, S. D., Nicolo, M., Yi, L., Dunton, G. F., & Mason, T. B. (2021). Interactions among reward sensitivity and fast-food access on healthy eating index scores in adolescents: A cross-sectional study. International Journal of Environmental Research and Public Health, 18(11), 5744. https://doi.org/10.3390/ijerph18115744

Yuan, Y., Mu, J. J., Chu, C., Zheng, W. L., Wang, Y., Hu, J. W., Ma, Q., Yan, Y., Liao, Y. Y., & Chen, C. (2020). Effect of metabolically healthy obesity on the development of arterial stiffness: A prospective cohort study. Nutrition and Metabolism, 17(1), 50. https://doi.org/10.1186/s12986-020-00474-8

Zhang, C., Zhang, J., Xiao, S., Shi, L., Xue, Y., Zheng, X., ... & Zhou, G. (2023). Health-related quality of life and its association with socioeconomic status and diet diversity in Chinese older adults. Frontiers in Public Health, 10, 999178. https://doi.org/10.3389/fpubh.2022.999178

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Published

2026-07-31

How to Cite

Lariwu, C. K., Sarayar, C. P., Sumarauw, J., Lontaan, E. M., Ponamon, J. F., Pondaag, L., & Timbuleng, P. C. (2026). Relationship Between Socioeconomic Status and Diet Quality in Obese Adolescents. MEDICA (International Medical Scientific Journal), 8(7), 732–739. https://doi.org/10.53770/medica.v8i7.1120

Issue

Vol. 8 No. 7 (2026): MEDICA (International Medical Scientific Journal)

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Articles

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